medical: rheumatoid arthritis and liver spots

70s adult age aging and arthritis background bent blemishes bumpy condition degeneration finger freckle geaster hand healthcare human illness impairment injury joint knuckle lentigo liver loss medical medicine old osteoarthritis pain physical process rheumatism rheumatoid scleroderma senile senilis senior skin solar spot spots swollen thumb white women wrinkle wrinkled wrist